Digital privacy is a sexual health necessity: a community-engaged qualitative study of virtual sex work and digital autonomy in Senegal.

IF 3.3 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Juliana Friend
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引用次数: 0

Abstract

The COVID-19 pandemic highlighted the harm reduction potential of virtual sex work (VSW) such as video or audio calls with clients. VSW limits exposure to COVID-19 and STIs. However, sex workers using digital technologies face high risks of technology-facilitated intimate partner violence (IPV), such as non-consensual distribution of intimate images. This study explored perceived risks and benefits of VSW, including the salience of STI harm reduction. Ethnographic interviews and participant observation with self-identified cis women sex workers in Dakar between January 2018 and August 2019 informed a further period of focused data collection in June 2022, in which two key research participants and the author devised a goal of concrete community benefit: a list of contextually relevant digital privacy precautions and resources. Brainstorming this list during workshops with 18 sex workers provided prompts for participant perspectives. While participants generally preferred VSW, citing STI prevention as a key reason, most resumed in-person sex work after COVID-19 curfews lifted; social risks of digital privacy breach and potential outing outweighed physical risks of contracting STIs. Participants proposed privacy features for mobile applications to make VSW viable and benefit from STI prevention. Their reflections call on tech companies to embed values of informed consent and privacy into platform design, shifting the burden of protecting privacy from individuals to companies. This study addresses a gap in technology-facilitated IPV research, which has concentrated on Euro-American contexts. Participant perspectives can inform action in technology policy sectors to advance criminalised communities' rights to sexual health, privacy, and autonomy.

数字隐私是性健康的必要条件:塞内加尔社区参与的虚拟性工作和数字自治定性研究。
2019冠状病毒病大流行凸显了虚拟性工作(VSW)减少危害的潜力,例如与客户进行视频或音频通话。VSW限制了对COVID-19和性传播感染的暴露。然而,使用数字技术的性工作者面临着技术促成的亲密伴侣暴力(IPV)的高风险,例如未经同意分发亲密图像。本研究探讨了VSW的感知风险和益处,包括STI减少危害的显著性。2018年1月至2019年8月期间,达喀尔对自我认同的顺性女性性工作者进行了人种学访谈和参与者观察,为2022年6月的进一步重点数据收集提供了信息,在此期间,两位主要研究参与者和作者设计了一个具体的社区利益目标:一份与背景相关的数字隐私预防措施和资源清单。在与18名性工作者的研讨会上集思广益,为参与者的观点提供了提示。虽然参与者普遍更喜欢性服务,认为预防性传播感染是关键原因,但大多数人在COVID-19宵禁解除后恢复了面对面的性工作;数字隐私泄露和潜在外出的社会风险超过了感染性传播感染的身体风险。与会者建议为移动应用程序提供隐私功能,使VSW可行,并从性传播感染预防中受益。他们的反思呼吁科技公司将知情同意和隐私的价值观嵌入到平台设计中,将保护隐私的负担从个人转移到公司。这项研究解决了技术促进的IPV研究的空白,该研究主要集中在欧美背景下。参与者的观点可以为技术政策部门的行动提供信息,以促进被定罪社区的性健康、隐私权和自主权。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sexual and Reproductive Health Matters
Sexual and Reproductive Health Matters Medicine-Obstetrics and Gynecology
CiteScore
4.00
自引率
8.30%
发文量
63
审稿时长
16 weeks
期刊介绍: SRHM is a multidisciplinary journal, welcoming submissions from a wide range of disciplines, including the social sciences and humanities, behavioural science, public health, human rights and law. The journal welcomes a range of methodological approaches, including qualitative and quantitative analyses such as policy analysis; mixed methods approaches to public health and health systems research; economic, political and historical analysis; and epidemiological work with a focus on SRHR. Key topics addressed in SRHM include (but are not limited to) abortion, family planning, contraception, female genital mutilation, HIV and other STIs, human papillomavirus (HPV), maternal health, SRHR in humanitarian settings, gender-based and other forms of interpersonal violence, young people, gender, sexuality, sexual rights and sexual pleasure.
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